[1]曹祖容.子宫动脉栓塞术联合宫腔镜治疗 子宫黏膜下大肌瘤的效果[J].医学信息,2019,32(18):84-86.[doi:10.3969/j.issn.1006-1959.2019.18.026]
　CAO Zu-rong.Effect of Uterine Artery Embolization Combined with Hysteroscopy in the Treatment of Uterine Submucosal Myoma[J].Journal of Medical Information,2019,32(18):84-86.[doi:10.3969/j.issn.1006-1959.2019.18.026]
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子宫动脉栓塞术联合宫腔镜治疗 子宫黏膜下大肌瘤的效果()
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医学信息[ISSN:1006-1959/CN:61-1278/R]

卷:
32卷
期数:
2019年18期
页码:
84-86
栏目:
临床研究
出版日期:
2019-09-15

文章信息/Info

Title:
Effect of Uterine Artery Embolization Combined with Hysteroscopy in the Treatment of Uterine Submucosal Myoma
文章编号:
1006-1959（2019）18-0084-03
作者:
曹祖容
重庆市九龙坡区中西医结合医院妇产科，重庆 401326
Author(s):
CAO Zu-rong
Department of Obstetrics and Gynecology,Chongqing Jiulongpo District Hospital of Integrated Traditional Chinese and Western Medicine,Chongqing 401326,China
关键词:
子宫黏膜肌瘤; 子宫动脉栓塞术; 宫腔镜; 并发症
Keywords:
Key words：Uterine mucosal fibroids; Uterine artery embolization; Hysteroscopy; Complications
分类号:
R737.33
DOI:
10.3969/j.issn.1006-1959.2019.18.026
文献标志码:
A
摘要:
目的 探讨子宫黏膜下大肌瘤实施子宫动脉栓塞联合宫腔镜治疗的临床效果。方法 选择我院2017年1月~2018年7月收治的60例子宫黏膜下大肌瘤患者，随机分为宫腔镜组和联合组，各30例。宫腔镜组患者运用宫腔镜电切治疗，联合组在此基础上联合子宫动脉栓塞治疗，比较两组宫腔镜手术时间、术中出血量、术后排气时间、治疗总有效率、术后并发症情况及术后3个月血红蛋白、月经量、月经时间变化情况。结果 联合组宫腔镜手术时间、术中出血量、术后排气时间及术后并发症发生率分别为（52.23±5.67）min、（32.29±5.38）ml、（12.83±2.18）h、6.67%，均低于宫腔镜组的（72.44±6.54）min、（75.46±4.53）ml、（22.15±4.23）h、26.67%，差异有统计学意义（P＜0.05）；联合组治疗总有效率为96.67%，高于宫腔镜组的80.00%，差异有统计学意义（P＜0.05）；联合组术后3个月血红蛋白水平高于宫腔镜组，差异有统计学意义（P＜0.05）；联合组月经量、月经时间低于宫腔镜组，差异有统计学意义（P＜0.05）。结论 子宫黏膜下大肌瘤实施子宫动脉栓塞联合宫腔镜治疗效果好，且可有效减轻手术创伤，降低术后并发症风险，促进患者术后恢复。
Abstract:
Abstract：Objective To investigate the clinical effect of uterine artery embolization combined with hysteroscopic treatment of uterine submucosal myoma. Methods 60 patients with uterine submucosal myoma who were admitted to our hospital from January 2017 to July 2018 were randomly divided into hysteroscopic group and combined group, 30 cases for each group. Patients in the hysteroscopic group were treated with hysteroscopic electrotomy, and the combined group was combined with uterine artery embolization. The time of hysteroscopic surgery, intraoperative blood loss, and postoperative exhaust time, total effective rate of treatment and postoperative complications were compared between hemoglobin, menstrual volume and menstrual time at 3 months postoperatively. Results The combined group hysteroscopic operation time, intraoperative blood loss, postoperative exhaust time and postoperative complication rate were (52.23±5.67) min, (32.29±5.38) ml, (12.83±2.18) h, 6.67%, respectively, were lower than (72.44±6.54) min, (75.46±4.53) ml, (22.15±4.23) h, 26.67% in the hysteroscopic group, the difference was statistically significant (P<0.05);The total effective rate was 96.67% in the combined group, which was higher than that in the hysteroscopic group 80.00%,the difference was statistically significant (P<0.05). The hemoglobin level in the combined group was higher than that in the hysteroscopic group at 3 months after operation,the difference was statistically significant (P<0.05). The menstrual volume and menstrual time in the combined group were lower than those in the hysteroscopy group,the difference was statistically significant (P<0.05).Conclusion Uterine artery embolization combined with hysteroscopic treatment of uterine submucosal large myoma is effective, and can effectively reduce surgical trauma, reduce the risk of postoperative complications, and promote postoperative recovery.

参考文献/References:

[1]张永新,吴燕.子宫动脉栓塞治疗子宫黏膜下肌瘤的疗效及安全性[J].当代临床医刊,2017,30(5):3344,3343. [2]王雪莲.巨大子宫黏膜下肌瘤126例行子宫动脉栓塞联合宫腔镜治疗的疗效分析[J].中国内镜杂志,2014,20(9):981-984. [3]张丽琦.宫腔镜联合子宫动脉栓塞术治疗巨大子宫黏膜下肌瘤临床研究[J].国际医药卫生导报,2019,25(2):273-276. [4]龚利,易明芳.黏膜电切术联合动脉栓塞在子宫肌瘤中的应用[J].中国妇幼健康研究,2017,28(9):1146-1148. [5]王晓辉,罗晓华.超声监视下宫腔镜电切术治疗黏膜下子宫肌瘤的疗效[J].中国临床医生杂志,2018,46(7):853-855 [6]许玲.宫腔镜电切术治疗黏膜下子宫肌瘤的疗效及安全性分析[J].中国现代药物应用,2017,11(22):40-41. [7]张翠菊,杨谆谆,周园,等.子宫动脉栓塞联合宫腔镜下肌瘤切除治疗子宫黏膜下肌瘤48例疗效观察[J].实用临床医药杂志,2017,21(13):146-147.

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更新日期/Last Update: 2019-09-15